Options other than your SHOP insurance offer

If your employer offers health coverage through the SHOP marketplace, you have 2 options:

  • Accept the offer from your employer
  • Reject the offer from your employer and purchase a health plan Health Insurance Market during the Annual Open Enrollment Period

 

Medical Plan through SHOP Coverage

Important: . If your employer offers a medical plan  through SHOP creditable coverage, you will not qualify for premium tax credits or other savings based on your income if you decide to purchase a plan through Market Learn about the rules apply if you have an offer of coverage from your employer. Most employers offering coverage SHOP pay a portion of their premiums. If you buy a plan in the insurance market instead of accepting the offer from your employer, your employer will not pay your premiums. You will have to pay the full amount.

 

Options other than your SHOP insurance offer

If you buy a plan from outside the market, you will not receive premium tax credits or other savings based on your income. The only way to achieve this saving is by purchasing an individual plan through the insurance market. If you do not have medical coverage that qualifies as minimum essential coverage , you may have to pay a penalty. The penalty for 2015 may be 2% of their income or $ 325 per person, whichever is higher. Learn about the penalty you will pay if you are not insured .

 

Contacting SHOP Insurance

Questions about your employer’s offer of SHOP coverage? Contact the SHOP Call Center at 1-800-706-7893 (TTY: 711) Monday through Friday, 9 a.m. to 7 p.m. ET.